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Effectiveness of a Peer-Led Web-Based Intervention to Improve General Self-Efficacy in Using Dating Apps among Young Adults: Randomized Clustered Trial
Wong, William C.W.1,2; Sun, Wai Han3; Chia, Shu Ming Cheryl2; Tucker, Joseph D.4,5; Mak, William P.H.6; Song, Lin7; Choi, Kitty Wai Ying3; Lau, Stephanie Tsz Hei2; Wan, Eric Yuk Fai2,8
2020-10-30
Source PublicationJOURNAL OF MEDICAL INTERNET RESEARCH
ISSN1438-8871
Volume22Issue:10
Abstract

Background: Online dating apps are popular platforms for seeking romance and sexual relationships among young adults. As mobile apps can easily gain access to a pool of strangers (“new friends”) at any time and place, it leads to heightened sexual health risks and privacy concerns. Objective: This study aimed to evaluate the effectiveness of a peer-led web-based intervention for online dating apps to prepare Chinese college students so that they have better self-efficacy when using dating apps. Methods: An open clustered randomized controlled trial was conducted among students from three colleges (The University of Hong Kong, Hang Seng University of Hong Kong, and Yijin Programme of Vocational Training College) in Hong Kong. Students aged 17 to 27 years who attended common core curriculum or general education were randomized into intervention and control groups. The intervention material, developed with high peer engagement, included four short videos, an interactive scenario game, and a risk assessment tool. An existing website promoting physical activities and healthy living was used as a control. Using the information, motivation, and behavioral skills (IMB) approach to design the evaluation, questionnaires covering participants’ sociodemographics and dating app characteristics, as well as the general self-efficacy scale (GSE) as the primary outcome and the risk propensity scale (RPS) as the secondary outcome were administered before, immediately after, and at 1 month after the intervention. Intention-to-treat analysis was adopted, and between-group differences were assessed using the Mann-Whitney U test. A post-hoc multiple linear regression model was used to examine the correlates of the GSE and RPS. Results: A total of 578 eligible participants (290 in the intervention group and 288 in the control group) participated in the study with 36 lost to follow-up. There were more female participants (318/542, 58.7%) than male participants in the sample, reflecting the distribution of college students. Over half of the participants (286/542, 52.8%) reported the following reasons for using dating apps: being curious (170/498, 34.1%), trying to make new friends (158/498, 31.7%), and finding friends with similar interests (121/498, 24.3%). Overall, the participants in the intervention group reported favorable experiences when compared with the finding in the control group. There was significant improvement in the GSE score and reduction in the RPS score (P<.001) in the intervention group. University of Hong Kong students were more susceptible to risk reduction after the intervention when compared with students from the other two institutions. Conclusions: The online intervention was effective in improving general self-efficacy and reducing risk tendency among young students. Future work is needed to determine if this approach is cost-effective and such behavioral change is sustainable.

KeywordInternet Sexual Health Self-efficacy Young Adult Risk Assessment
DOI10.2196/16378
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaHealth Care Sciences & Services ; Medical Informatics
WOS SubjectHealth Care Sciences & Services ; Medical Informatics
WOS IDWOS:000585380300003
Scopus ID2-s2.0-85094934842
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Document TypeJournal article
CollectionDEPARTMENT OF COMMUNICATION
Corresponding AuthorWong, William C.W.
Affiliation1.Department of General Practice, University of Hong Kong-Shenzhen Hospital, Shenzhen, China
2.Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong, Hong Kong
3.Sticky Rice Love Ltd., Hong Kong, Hong Kong
4.University of North Carolina at Chapel Hill - Project China, Guangzhou, China
5.London School of Hygiene and Tropical Medicine, London, United Kingdom
6.Vocational Training Council, Hong Kong, Hong Kong
7.Department of Communication, Faculty of Social Sciences, University of Macau, Macau, Macao
8.Department of Pharmacology and Pharmacy, University of Hong Kong, Hong Kong, Hong Kong
Recommended Citation
GB/T 7714
Wong, William C.W.,Sun, Wai Han,Chia, Shu Ming Cheryl,et al. Effectiveness of a Peer-Led Web-Based Intervention to Improve General Self-Efficacy in Using Dating Apps among Young Adults: Randomized Clustered Trial[J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2020, 22(10).
APA Wong, William C.W.., Sun, Wai Han., Chia, Shu Ming Cheryl., Tucker, Joseph D.., Mak, William P.H.., Song, Lin., Choi, Kitty Wai Ying., Lau, Stephanie Tsz Hei., & Wan, Eric Yuk Fai (2020). Effectiveness of a Peer-Led Web-Based Intervention to Improve General Self-Efficacy in Using Dating Apps among Young Adults: Randomized Clustered Trial. JOURNAL OF MEDICAL INTERNET RESEARCH, 22(10).
MLA Wong, William C.W.,et al."Effectiveness of a Peer-Led Web-Based Intervention to Improve General Self-Efficacy in Using Dating Apps among Young Adults: Randomized Clustered Trial".JOURNAL OF MEDICAL INTERNET RESEARCH 22.10(2020).
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